Organization
EMBOLDEN YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDRA BOLDEN (EXECUTIVE DIRECTOR)
(562) 225-4442
Entity
Organization
Contact information
Practice address
643 W 95TH ST, LOS ANGELES, CA 90044-5615
(323) 305-3209
Mailing address
643 W 95TH ST, LOS ANGELES, CA 90044-5615
(323) 305-3209
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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